Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1487797254 Individual Practitioner Male Practitioner

Dr. Jack Kavanaugh , MD, DDS

Dentist - General Practice • Torrance, CA

Professional Overview & Biography Verified Profile Summary

Dr. Jack Kavanaugh, MD, DDS is a registered healthcare professional specializing in Dentist - General Practice in Torrance, CA. Practice services are available at 19019 HAWTHORNE BLVD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

19019 Hawthorne Blvd
Suite # 100 B

Torrance, CA 905031524

Telephone 3103710113
Fax 3103711927
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Torrance, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 34.0 Yrs
State Avg: 21.7 Yrs
Regional Practice Density
203 Specialists

Practicing in Torrance, CA (18734 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License CA 23330

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
Iwona Drabik

Dentist - General Practice

NPI 1013877018

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 19019 HAWTHORNE BLVD, SUITE # 100 B, TORRANCE, CA 905031524 (Tel: 3103710113)

📍
Updated Business Mailing Address July 08, 2007

Registered at 19019 HAWTHORNE BLVD, SUITE # 100 B, TORRANCE, CA 905031524 (Tel: 3103710113)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as JACK KAVANAUGH, MD,DDS.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Dentist (License #23330 in CA)

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Initial NPI Registration & Enumeration February 14, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1487797254
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 14, 2007
Last Update: July 08, 2007
Sole Proprietor: Yes

Mailing Address

19019 Hawthorne Blvd, Suite # 100 B

Torrance, CA 905031524

Phone: 3103710113

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.